HomeMy WebLinkAbout914 Pine Aver- ~
Permit #
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date:
Zoning: Value of Work: $ LYN) • 6 a
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1JOv".
Permit Type: Building _X Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS ' Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Contact Person:
State License Number:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of p it is verification that I will notify the owner of t property of the requirements of Florida Lien Law, FS 713
If
Si ture of Owner/Agent Date Signature of Contractor/Agent
Print caner/Agent's Name Print Contractor/Agent's Name
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Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Date
Ow r/Agent is _ Per5onally Known to Me or
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TION APPROVED BY: Bldg: Zoning:
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Special Conditions:
Contractor/Agent is _ Personally Known to Me or
Produced ID
Utilities:
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(Initial & Date) (Initial & Date) (Initial & Date)
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform the work being done. Any person.working
on your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordin ces, building codes, and zoning egulations.
i, O��, hereby state that I am qualified and capable of performing the
4
requested construction involved WP the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
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Owner/Builder Signature ate
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)Fri int Owner/Builder Name
Signature of Notary—State AFlorida Date
Owner is Personally Known to Me or has
Produced ID &,,Vew 6.c:
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SAW F.FLOYD
My COMMISSION N DD 170808
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EXPIRES: December 11, 2006
8one,1 Th u NoYry PuW U nrenvAtera
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POWER OF ATTORNEY
SPECIAL
KNOW ALL MEN BY THESE PRESENTS: That I, Wavie Alloway, the undersigned
(jointly and severally if more than one, hereinafter collectively "principal"), hereby make,
constitute and appoint -Barbara Washing -ton SSN 4264-15-1635 and Walter Bradley. SSN
# 261-86-1057 principal's true and lawful attorney to act for principal and in principal's
name, place and stead and for principal's use and benefit:
• To manage property owned by me at 912 Pine Avenue, 914 Pine Avenue, and 408
Bay Avenue in Sanford, Florida This includes renting the properties, collecting
rents, coordinating repairs and upkeep, and evictions when required.
Principal hereby grants to said attorney in fact full power and authority to do and perform
each and every act and thing which may be necessary, or convenient, in connection with
any of the foregoing, as fully, to all intents and purposes, as principal might or could do if
personally present, hereby ratifying and confirming all that our said attorney in fact shall
lawfully do or cause to be done by authority hereof.
Wherever the context so requires, the singular number includes the plural.
WI SS my hand this 8`h day of July 2005.
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
On this 8"' day of July, in the year 2005, before me, the undersigned, a Notary Public in
and for. said State, personally appeared Wavie Alloway, who proved to me on the basis of
satisfactory evidence to be the person whose name is subscribed to the within instrument,
and acknowledged to me that he executed it.